Aktif Dinleme - Iletisim Kursu, Kirikkale - Ocak 2005

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KNOWLEDGE OF FAMILY PLANNING METHODS and FACTO
RS EFFECTING CONTRACEPTIVE KNOWLEDGE OF TURKISH
ADOLESCENTS
Set T, Dagdeviren N, Eker E, Cakmak H, Tunc Z,
Kilicarslan S
Aktürk Z, Dagdeviren N, Set T
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Sexual behaviors are changing !
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Background

• Population of Turkey 73 million

Republic of Turkey, Prime Ministry State
Institute Of Statistics. http//nkg.die.gov.tr/gos
ter.asp?aile1
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• 50 of the Turkish population is below 25 y.

UNFPA Turkey. http//www.un.org.tr/unfpa_tur/popul
ationdynamics1turkey.asp
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• 3 of females and
• 6 of males have higher education

The Turkish Higher Education Council.
http//www.yok.gov.tr.
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• Limited place for sexual education in the current
  high school education
• Only reproductive health issues

Akin A, Özvaris SB. Factors effecting the sexual
health of adolescents. Ankara, 2004.
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• Sexual issues are even not discussed in the
  families
• More than 80 of university students do not talk
  about sex with their parents

Akin A, Özvaris SB. Factors effecting the sexual
health of adolescents. Ankara, 2004.
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• Knowledge of youth on family planning and
  sexuality is limited
• 10 of university students dont have any idea of
  STIs
• 44,5 do not use any protection against STIs

Dagdeviren N et al. The sources of knowledge of
the Turkish teenages about sexual issues how
reliable are they?, 2001
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Hypotheses

• Contraceptive knowledge is limited among
  university students
• Sexual knowledge changes with
• gender,
• marital status
• time,
• geographical origin
• learning background

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Methods

• Questionnaire study
• Subjects students applying for higher education
  at Trakya University between 2001-2004
• Population size 33.547
• Sample 2001 3.697/8.906 (41,5), 2002
  3.988/7.099 (56,2), 2003 5.310/8.596
  (61,8), 2004 3.763/8.946 (42,1)
• Total 17.634 (52.5 )

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Variables

• Dependent variables
• Having received any sexual education
• The source of education?
• Knowing at least one contraceptive method
• Independent variables
• Study year
• Gender
• Geographical origin
• Applied program
• Marital status

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Results

• Age 18,55 1,57 years
• Male/Female 8859/7899 (52,9/47,1)
• 65.5 received sexual education
• Boys 5476/8346 65,6 ,
• Girls 4797/7429 64,6 (plt0,05)

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Knowing at least one contraceptive method (modern
or traditional)

• 2592/15030 17,1
• Girls 1264/6921 18,3
• Boys 1328/8109 16,4 (p0,002)

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Most commonly known contraceptives
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Contraceptive Knowledge

• Knowledge changes with geographic origin
  (plt0,001)
• Foreigner 42/294 14,3
• Black see 302/1987 15,2
• East 124/915 13,6
• South east 31/190 16,3
• Middle 174/916 19,0
• Mediterranean 75/365 20,5
• Aegean 170/615 27,6
• Marmara 1448/8232 17,6

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Contraceptive Knowledge
14,3
17,6
15,2
13,6
19,0
16,3
27,6
20,5
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Contraceptive knowledge decreases with time (p
lt0,001)
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Having received sexual education (self report)

• Education increases with time
• 2001 33.7 ,
• 2002 45.0 ,
• 2003 85.8,
• 2004 86.1 (p lt0,001).

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• Sexual education changes with regard to the
  applied licence programmes (p lt0.001)

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Resources for Sexual Education
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Resources for Sexual Education
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Resources for Sexual Education
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Contraceptive knowledge changes with applied
program (plt0,001)

• Applied program
• 2-year 1428/9560 14,9
• 4-year 985/4604 21,4
• Medical faculty 114/309 36,9

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Contraceptive knowledge changes with marriage
(p0,012)

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• Education changes with geographic origin (p
  lt0.001)

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49,0
59,9
67,3
57,2
58,8
59,5
55,1
59,4
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Discussion

• This study confirms the previous ones in
  demonstrating the insufficiency of sexual
  education of Turkish youths.
• Canada 95 of university-aged females have
  received information for OCDoctors (82),
  pamphlets (46), friends (36)
• Paula C. Fletcher et al. Contraception 2001
  63229233

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• Young people try to get more sexual knowledge
  with time but professionals can not act as the
  primary resource.
• Students applying for medical education are more
  knowledged and they use more reliable resources.

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• Regional differences in sexual knowledge can be
  attributed to the sociocultural differences.
• Priority should be given especially to eastern
  regions in planning sexual education.